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J Korean Soc Emerg Med > Volume 23(2); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(2): 279-283.
Rupture of a Gastroduodenal Artery Pseudoaneurysm Revealed by Non-traumatic Hemoperitoneum: Report on a Case
Jae Hoon Lee, Jun Young Chung
Department of Emergency Medicine, Dong-A University Medical Center, Pusan, Korea. edklo@dau.ac.kr
ABSTRACT
We report here on a case of a 65-year-old male patient who suffered rupture of a pseudoaneurysm resulting from a non-traumatic and obscure cause. Pseudoaneurysms of the gastroduodenal artery have often been observed in the setting of inflammation or trauma, particularly in patients with pancreatitis or pancreaticoduodenectomy. However, our patient did not present as a result of a common cause of pseudoaneurysm rupture. We assumed that liver cirrhosis was suspected as a factor causing. Risk for rupture is unrelated to size; therefore, once the diagnosis has been made, any pseudoaneurysm of the gastroduodenal artery should be considered for definitive treatment. Transcatheter arterial embolization was recommended as initial management of the ruptured pseudoaneurysm, which originated from the gastroduodenal artery, proximal and distal to the pseudoaneurysm, with microcoils. To the best of our knowledge, this case represents the most significant uncertain cause ever reported in the literature.
Key words: Aneurysm, False, Embolization, Therapeutic, Liver cirrhosis
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